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Watt, James H., Jr.; Stefanov, RebeccaAn Exploratory Study of Factors Affecting Usage of anOn-Line Computer-Based Bibliographic RetrievalService.National Inst. of General Medical Sciences (NIH),Bets- -4da, Md.25 84NO1-ft._-0-234523p.; Paper presented at the Annual Conference of theIntern tional Communication Association (SanFrancisco, CA, May 24-28, 1984).Reports - Research/Technical (143)Speeches/Conference Papers (150)
EDRS PRICE MF01/PC01 Plus Postage.DESCRIPTORS Databases; Health Materials; *Health Personnel;
Information Needs; *Information Retrieval;Information Seeking; *Information Sources; OnlineSystems; Questionnaires; *Training Methods; *UserSatisfaction (Information); Use Studies
IDENTIFIERS *End Users; *MEDLINI
ABSTRACTThe situational and personal factors affecting the
usage of a computer based information service by health careprofessionals are described. Of 166 health care professionals whowere iientified as potential users of MEDLIN' at the University ofConnecticut, 126 carried out one or more online searches. Pre-use andpost-use questionnaires were administered to solicit information inthe following areas: job profile, information needs, current use ofinformation sources, satisfaction with information sources,experience with automated information systems, beliefs aboutcomputers and automated information systems, physical difficulty inusing the system, and type of =LINE training received. It wasconcluded that the relevance of the information available to theimmediate job-related problems of the user is the major determinantof the first use of the service. Total information needs,dissatisfaction with other sources of information, and beliefs aboutthe satisfying nature of computer interaction and the reliability ofcomputer machinery are predictive of more frequent use. This reportis part of a National Institutes of Health (NIH) project carried outat five locations in the United States. (Author/THC)
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CV AN EXPLORATORY STUDY OF FACTORS AFFECTING USAGE OF AN ON-LINE.1) COMPUTER-BASED BIBLIOGRAPHIC RETRIEVAL SERVICEC:2
C:3
LU
James H. Watt, Jr.
Rebecca Stefancv
Department of Communication SciencesThe University of Connecticut
Box U-85Storrs, CT 06268
(203) 486-2628
Presented to the International Communication Associationconference.
Human Communication Technology Special Interest Group
San Francisco. May 25, 1934
This research was partially supported by NIH Award No.NO1-NS-0-2345
2
annual
'PERMISSION TO REPRODUCE THISMATERIAL HAS BEEN GRANTED BY
James Watt
TO THE EDUCATIONAL RESOURCESINFORMATION CENTER tERIC)."
ABSTRACT
An exploratory study of the situational and personal factors
affecting the usage of a computer-based information service by
health care professionals is described. The user population was
free to use, or not to use, the service, and to use it as fre-
quently as they chose. It is concluded that the relevance of the
information to the immediate job-related problems of the user
population is the major determinant of the first use of the
service. Total information needs, dissatisfaction with other
sources of information. and beliefs about the satisfying nature
of computer interaction and the reliability of computing machi-
nery are predictive of more frequent use.
AN EXPLORATORY STUDY OF FACTORS AFFECTING USAGE OF AN ON-LINECOMPUTER-BASED BIBLIOGRAPHIC RETRIEVAL SERVICE
INTRODUCTION
his paper describes an exploratory study. The objective of
study was to explore factors which might predict the usage
a d non-usage of a computer-based bibliographic information re-
trieral system, and for those who chose to use it, the amount of
use they made of the system. It involves a population of users
who are not normally oriented toward using computer systems.
The potential users of the service were not forced to use it
to carry out their jobs. This situation is somewhat different
from other studies of user acceptance of data retrieval systems.
The information provided by the system described has varying
value for different members of the potential user population.
Some persons might find the ability to scan over a million jour-
nal entries quite central to their jobs. Other persons might
need this service only rarely, if at all.
The service provided by the information retrieval system can
also be obtained without the use of computers, at a good univer-
sity library, for example. However, it requires much more time
and effort to retrieve literature citations and abstracts manu-
ally, but this must be balanced against the time and effort
required to learn to use the computer-based information service.
There are enough unique aspects to the setting and user
population in this study to make confident predictions about user
behavior impossible. For that reason, an exploratory approach
was taken.
To study the possible determinants of use of this system, a
set of general factors which logically might affect usage pat-
terns were developed. Specific questions about these factors
were administered to the potential user population via a pre-use
and a later post-use questionnaire.
The data analysis of these rather extensive measurements
proceeded more from general speculations about what ought to
affect usage of the service than from formal hypotheses. The
data analyses presented in the latter part of this paper are thus
more descriptive than inferential, but they may represent some-
thing of value to persons interested in providing information
services for a population of users similar to those described
below.
Some General Factors Which May Affect Use of InformationRetrieval Systems
Physical Factors. The first requirement for use of a commu-
nication srstem based on computer hardware physical access to
the hardware. This very basic requirement is often assumed by
t;lose who study man-machine interaction. In a realistic situa-
tion, a user may have the choice of using some alternative to the
computer information system. If the computer terminal is at a
remote location, or if it is heavily used and the potential user
must wait for access, the individual will probably be less likely
to make use of the information system. The amount of use made of
2
the computer system is probably dependent on a simple time and
information cost/benefit function. In the case of bibliographic
citations, if a library with printed indices is closer, and if
the user feels that enough information can be obtained from this
source in a reasonably short time period, the person will probab-
ly not use the computer-based system.
Eason and Damodaran (1981) discuss this time minimization in
the context of determining interaction system requirements for
task-oriented users, but its effect extends to initial access, as
well. Sackman (1970) also relates the time to learn to access
information to the liklihood that use of the information will be
made.
Benefit Factors. Another quite basic requirement of a com-
puter-based communication system is that the potential user must
have some need for the service provided. These systems are often
developed with little knowledge of the real information needs of
the user population, and then presented to the users after deve-
lopment is completed. If the service is subsequently not used,
its failure may *'den be attributed to lack of "user-friendliness"
or some other such structural factor, when in reality the service
simply provides nothing that a potential user can use or could
not obtain through other methods. Eason (1976) provides a very
simple statement of this fact:
"The task the person is performing defines his interests in
information at that time."
A new information system, and especially one which requires
training to use, must solve some problem, or make some task
3
easier for potential users, for it to be accepted and used.
Satisfaction with Information Systems. This category is
really made up of satisfaction with the information systems cul--
rently being used, and satisfaction with the information system
being introduced.
The individual user's satisfaction with his current informa-
tion collecting systems should predict usage. If the person is
happy with the current system, there is no reason to expect that
he/she will expend the energy and time to learn a new system. If
he/she is unhappy with the status quo, we can expect more usage
of the new system.
The other type of satisfaction has more to do with the
user's personality. Malde, quoted in Eason and Damordaran
(1981), made a distinction between "thing-oriented" and "people-
oriented" individuals. "Thing-oriented" persons were more effi-
ciency centered, and felt that working with computer systems was
more personally satisfying that did "people-oriented" indivi-
duals. There is apparently some intrinsic satisfaction gained in
using computers, beyond that of obtaining information from them,
possibly because computers are seen as efficiency-enhancers.
Satisfaction of users with experience may also change.
Gaines and Shaw (1983) state experienced users often report
frustration with a seemingly rigid computer system. Hiltz and
Turoff (1978) describe a similar phase in experienced users,
which they called the "saturation phase". They describe it as
being produced by the evolution of new information needs within
4
the user (partly because of experience with the current informa-
tion system) which the system cannot meet. Satisfaction may thus
he related to the general category discussed next, the user's
prior experience with information retrieval systems.
Prior Experience. Coombs and Alty (1981) point out that
most computer-based data systems function primarily as one-way
information sources, and do not adapt to the needs of individual
users. The effectiveness of this kind of system is dependent
upon the level of the user's knowledge. Persons with prior
experience with computers, and especially with similar informa-
tion systems, might reasonably be expected to make more use of a
computer-based system than would a novice computer user.
Beliefs about Computers. This area has received some atten-
tion. Sackman (1970) found that non-users felt that computer
hardware was "unreliable and untrustworthy; ... software is unna-
turally difficult and requires too much time and painstaking
attention". Hiltz and Turoff (1978) document an apparently com-
mon belief that the computer will break if they do something
wrong. During some pilot interviewing for this study, some
individuals expressed beliefs that computers stifled creativity.
Others showed a general distrust of machinery, including compu-
ters. This was often expressed as a "machines are out to get mc"
sentiment (the proposed name for this is the "Woody Allen Syn-
drome").
5
THE EXPLORATORY STUDY
These general factors may affect any user population's
acceptance of a computer-based information service. This study
was carried out to determine which of them operate in the
specific setting of bibliographic information retrieval service
available to a professional population, the members of which are
naive or casual users of computer services.
The On -Line Service.
MEDLINE is a computer-based data retrieval system which
contains information about professional literature of interest to
health professionals. Typical information is a complete liters-
i.ure citation with author, journal, etc., and a short abstract of
the article. The data base is maintained by the National Library
of Medicine, under the administrative umbrella of the National
Institutes of Health. Over 3000 journals are indexed under
25,000+ key terms. The data base contains over 1,000,000 en-
tries, and is growing rapidly.
MEDLINE was designed to permit searches by persons familiar
with medical terminology, but not expert in computer operations.
However, each user must be able to operate a computer terminal,
dial into a timesharing service, enter account numbers and pass-
words, etc. MEDLINE dialog is not a natural language system, so
the user must also enter search requests in a fixed grammar, and
must interpret sometimes cryptic responses from the system. MED-
LINE is fairly typical of large data base information retrieval
6
systems in this respect. While the MEDLINE dialog is much easier
to use than a formal data base language, it still would not be
correct to call it "user-fri ndly".
To help new users, there is a rather extensive tutorial
program, MEDLEARN, which gives new users some experience opera-
ting typical computer terminals (how to backspace, cancel com-
mands. interrupt the MEDLINE mainframe computer's searches,
etc.). Two large users' manuals are also provided. These give
information about operational procedures, and also list the index
terms.
Many medical and research libraries also provide a MEDLINE-
trained person, called the Technical Information Specialist
(TIS), to help with searches. The TIS may sit with the user
while the search is carried out, giving advice. Or the liser
might submit a search topic to the TIS, and have the TIS carry
out all the computer operations.
A user thus has the choice of three ways of using MEDLINE:
1) an unassisted search; 2) an assisted search, where a TIS is
present for advice; and 3) a submitted search where the TIS does
all the computer interaction.
The Study Objectives
In 1980, NIH instituted an evaluation study of MEDLINE,
focussing on its usefulness to professionals in communication
disorders. Of particular interest were the determinants of usage
of the service. Factors such as job category, information needs,
experience vith computers, etc. were to be examined to determine
why some professionals used the MEDLINE service heavily, while
others did not. Other evaluations of MEDLINE were also to be
made, but those will not be discussed here.
The evaluation project began in September, 1980 and con-
tinued unt4.1 March, 1983. The initial six months were devoted to
developing a questionnaire to gather information about potential
users, and to administering this questionnaire and training the
potential users in MEDLINE procedures. The next 18 months were
spent monitoring MEDLINE usage, and the final six months were
used to process the data gained during the monitored usage phase.
The evaluation project was carried out at five locations in
the United States. A MEDLINE center was established at each
location, and a full-time TIS was provided for each center.
However, the data reported here were collected at the University
of Connecticut only. The full final report, with data from all
five centers, will be published shortly by the National Insti-
tutes of Health.
Study Procedures
The Sample. The potential user population at the University
of Connecticut MEDLINE center consisted of166 professionals in
Language Pathology (36% of the total group), Speech Pathology
(24%), Audiology (8%), with the remaining 32% spread among spe-
cialties such as Aural Rehabilitation, Psychoacoustics, Otolaryn-
gology, etc. The group included practicing professionals as well
as students pursuing advanced degrees (a little less than 22Z of
the total potential user group were students). This population
was recruited primarily during the initial six month start-up
period, and during the first 12 months of the monitored usage
period.
Pre-Use questionnaire. Before any searching was done, the
user was asked to fill out an extensive pre-use questionnaire.
This 13-page se1f-administered questionnaire contained questions
in the following areis:
1. Job Profile. Questions in this section included primary
and secondary job interests, highest degree granted, percentage
of time spent in different job settings, such as clinics, hospi-
tals, universities, etc.
2. Information Needs. Potential users were asked how fre-
quently they needed updates from various sources of professional
information such as journals, books, continuing education, etc.
3. Current Use of Information Sources. Respondents were
asked how frequently they used each source of information to keep
current and for comprehensive reviews of their area of spec-
iality.
4. Satisfaction with Information Sources. The respondent's
satisfaction with each source of information was recorded on an
8-point Likert-type scale.
$
912
5. Experience with Autometed Information Systems. Each
potential user was asked about prior experience with other bib-
liographic data base systems such as ERIC (Educational Resources
Information Center), BRS (Bibliographic Retrieval Services),
Lockheed Info Systems, etc. Both frequency of prior use and
satisfaction with the system were recorded.
6. Belies about Computers and Automated Information Sys-
tems. Fourteen items, listed in Appendix A, were developed from
the literature and from pilot interviews with potential users
during the initial six-month period of the study. Each item
represents a different belief, with no theoretical rational
items, so each question was initially treated as a single
indicator item in the data analysis.
7. Physical Difficulty in Using the Service. Potential
users were asked to estimate the travel time in minutes to the
MEDLINE center.
Post-Search Questionnaire. Each potential user who actually
carried out a search was asked to fill out a short questionnaire
immediately after completing the search. This questionnaire
recorded the search mode (Unassisted, Assisted, or Submitted),
the number of references generated, the user's satisfaction with
these references, and the user's satisfaction with the TIS's
help, if appropriate.
Post-Use Questionnaire. Each potential user who actually
carried out a search filled out a post-use questionnaire which
1310
contained items in the above 6 categories identical (or nearly
so--some minor changes were made in the wording of sore items by
request of the project director) to those in the pre-use
questionnaire. This permitted some before-after comparisons.
Potential users who did not carry out a search were asked to fill
out an abbreviated questionnaire, contai-ing some of the pre-use
questions which allowed them to serve as a pseudo-control group
for some analyses.
An additional question was asked of users in the post-use
questionnaire:
8. Type of Training Received. Three types of training were
available: Workshops, given at periodic intervals, TIS indivi-
dual training sessions, available by appointment, and training by
other MEDLINE users. Each user was asked to indicate the primary
type of training received.
RESULTS
Users vs. Non-Users.
Of the 166 potential users, 126 actually carried out one or
more on-line searches. Thirty-eight did no searching, and two
did not complete the questionnaire sequence sufficiently to per-
mit their inclusion in the date anillysis.
Chi-square statistics based on cross-tabulations (for non-
quantitative indicators) or t-tests (for onentitaPive indicators)
were used to determine which indicators in the eight question-
1114
naire areas were significantly related to the decision to
become a user or non-user of MEDLINE's services.
The data are most striking for their lack of predictive
power. Only one interest area, Speech Pathology, had a slightly
higher percentage of non-users than the other areas. Those with
degrees granted before 1966 or after 1976 were slightly more
likely to use the service, but these groups are also the ones in
which academic faculty and students are most likely to fall.
The kinds of job tasks carried out by the respondents, the
type of MEDLINE training received, and the travel time to the
MEDLINE center showed no ability to discriminate between users
and non-users. The appeal (and lack of appeal) of MEDLINE showed
no evidence of being produced by differences in job requirements,
training, or the difficulty in reaching the service. Neither did
any of the opinion items about computer systems predict use/non-
use.
In fact, the only item to clearly discriminate users from
non-users was the frequency with which the respondent needed
updates from journals, with those with higher frequency needs
being much more likely to be users (t=2.40, p<.02).
The dominant predictor was thus none of the items relating
to ease of use, familiarity with computer systems, beliefs about
computer systems, or training, but it is a rather important one:
whether the respondent had a need for the primary service pro-
vided by the computer-based communication system.
1512,
Amount of Searching Done ki Users
The object of this analysis was to identify factors which
discriminated users who carried out a number of searches from
those who carrieC out few or no searches. Linear regression was
used to predict the number of searches from a set of indices
which were constructed to summarize the individual indicators
into wore abstract variables. The constructed indices were:
Total Frequency of Update (TOTUP). This index was construc-
ted by summing the responses to the 8 categories of information
needs in the pre-use questionnaire. It represents the respon-
dent's total need for current information from all sources.
Total Information Usage (TOTINT). This index was construc-
ted by summing the frequency of usage responses in the 12 infor-
mation source categories of the preuse questionnaire. These
responses were weighted as follows, before summing:
"Every couple of years" = 1
"Annually" . 2
"Every 3-6 months" = 6
"Monthly" = 24"More than once a month" = 48
Total Use of Information Bases (TOT,SE). This index was
constructed by summing the number of times per year the respon-
dent used automated information retrieval services as reported
in the pre-use questionnaire. It thus represents prior experi-
ence with information retrieval systems.
1613
Total Satisfaction with Sources of Information (TOTSAT).
This index was constructed by summing the level of satisfaction
reported by respondents for all 13 possible sources listed in the
pre-use questionnaire.
In addition to these constructed indices, a number of indi-
vidual variables were included as potential predictors of the
level of searching carried out. All were taken from the pre-use
questionnaire. They were:
- - The 14 computer and information system belief items (seeAppendix A).
-- The number of minutes travel time to the MEDLINE center.
- - The year the highest degree was granted.
-- Type of training (from post-use questionnaire)a) workshopb) instruction from a friendc) by TIS
-- Professional interest in Speech Pathology (primary,secondary, or not at all)
Although some of these items did not discriminate between users
and non-users, an examination of zero-order product-moment corre-
lations indicated reasonably high covariance between the indivi-
dual items selected and the number of searches carried out by an
individual.
Stepwise regression was used in an exploratory analysis to
identify the strongest predictors of the amount of searching
done. Table 1 shows the results cf this regression.
Four statistically significant predictors were found. In
concert, they explain 12% of the variance in the number of sear-
chess This tigure is significant (p < .001). Each of the par-
tial statistics for the individual predictors are also signifi-
cant at p < .05. None of the additional predictors reached
significance. In addition, a simultaneous regression which in-
troduced all predictors in the same equation isolated the same
four predictor variables as the only significant ones. Taken
together, these results indicate that the four variables are the
optimal set for predicting the number of searches carried out.
The variable with the strongest predictive power was the
total information usage index (TOTINT). High information usage
of other types of information sources was predictive of more
frequent MEDLINE searches. Apparently there exists a group whose
members are high consumers of information. This group is more
inclined to use MEDLINE.
The second most predictive variable was one of the belief
items:
"Playing with computers can be fun and personallysatisfying."
Agreement with this item was predictive of a higher number of
searches. It may reflect a positive orientation toward automated
information systems, )r perhaps it is reflective of the possible
higher acquaintence of the high information consumers with compu-
ter equipment.
The third item was also a belief item:
"Computers, like most machines, always break down when youneed them most."
15 18
Agreement with this item predicted more searches. This may be an
unfortunate side-effect of reliance on a time-sharing computer
system for critical information. Persons likely to do more
searching are also those most likely to have been disappointed by
equipment and system failures.
The last predictive item was the total satisfaction with
sources of information (TOTSAT) index. The lower this index, the
higher the number of searches the respondent was likely to carry
out. Apparently those dissatisfied with more traditional sources
of information will use newer services such as MEDLINE to seek
satisfaction.
CONCLUSIONS
In this exploratory study, we reach the conclusion that the
best predictor of initial use of a computer-based information
service is a felt need for the information supplied. We find no
evidence of the predictive power of prior experience, personality
or belief variables, or even the extensiveness of training
received.
A composite picture of the more frequent user of MEDLINE
emerges from the analysis of those who actually made the decision
to use the service. He/She is a high consumer of information,
but one who is somewhat dissatisfied with current sources of
information. He/She regards computer equipment positively, but
is frustrated by unreliablity in the system'.
16
19
To the degree that the user population described in this
paper is representative of other task-oriented professionals who
are not primarily intereoted in computers, but in the information
which they can provide, we may draw some tentative conclusions:
1) Any computer-based information service must provide
information directly related to the jobs carried out by the
professionals. If they do not recognize the need for the infor-
mation service, they will not even sample the service. If the
potential user population is merely unaware of the value of the
system, an educational program might be called for. But if the
service cannot easily be shown to be valuable to the current
tasks being carried out by the professionals, it is unlikely to
be accepted.
2) Those who really see the need for the service will use
it despite inconveniences, and they will use it even if they have
had little or no prior experience with computer systems.
3) Increasing the reliability and availability of the in-
formation service will increase use of the system.
4) Increasing computer literacy and decreasing fear of
computing machinery by educational programs should increase use
of the information system.
17 20
S
TABLE I
NUMBER OF USES OF MEDLINE PREDICTED BY USER CHARACTERISTICS
PredictorVariable
BetaWeight F for Beta
======.2===Sig.112====
Total Information Usage .232 7.57 < .01
(TOTINT)
Total Satisfaction with - .183 4.67 < .05
Sources of Information(TOTSAT)
"Playing with computerscan be fun..." (Agree) .215 6.98 < .01
"Computers ... alwaysbreak down just when youneed them" (Agree)
.186 5.37 < .025
d.f. for Betas . 1:149
fig====t=============a=============Maa===
Multiple R . .343
F for Regression = 4.87 (4;146 d.f.) p < .001
APPENDIX A
BELIEFS ABOUT COMPUTERS AND AUTOMATED INFORMATION SYSTEMS
1. Computers are expensive pieces of sophisticated equipmentthat should be utilized only by trained experts.
2. Recent technology has made computer operation so simple evena layman can put them to good use.
3. Computers may be good for other people, but I personally haveno need to use one.
4. In today's society, everyone should know how to operate a
computer.
If I use a computer, I am afraid I might damagt.
6. Computers, like other machines, always break LJwn just whenyou need them most.
7. It takes too long to learn to use a computer for it to beuseful to me.
8. Computers are detrimental because they reduce creativethinking and restrict human development.
9. Playing with computers can be fun and personally satisfying.
10. } 1ving a computer-based information system available providesCommunication Disorder Specialists with an additional, usefultool.
11. Having a computer-based information Bytes would provide mewith en additional useful tool in my profession.
12. Computers are beneficial because they nave time* And Elveprofessionals greater freedom to investigate new ideas.
13. Computer systems and languages are just too complicated to
use for relatively simple jobs like reviewing professionalliterature.
14. Computer information eystems reduce the danger that I will beunaware of an important advance in my speciality.
==========n============
Answered on an 8-point scale, ranging from 1-DISAGREE to 8=AGREE
19 22
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Coombs, M.J. and Alty, J.L. Computing skills and the user
interface. New York: Academic Press, 1981.
Eason, K.D. Understanding the naive computer user. ComputerJournal, 19, 3-7.
Eason, I.D. and Damodarian, L. The needs of the commercial user.In M.J. Coombs and J.L. Alty, Computing skills and the user
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